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Rockwell College Scholarship Examination 2018

Entry Form: Please Print the form (Ctrl +P on Windows, Command +P on a Mac), and return by Post.

Name of Candidate: _________________________________ (Block Capitals)

Address: ____________________________________________

_____________________________________________

Contact Number Home: ____________________________ Mobile: ___________________

Date of Birth: ______________________________

Present School : ____________________________

School Address : ____________________________

Signed: _____________________________________ (Parent/Guardian)

I enclose payment of €50.00

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For Office use only:

Name: _________________________________________

Cheque: Cash: Postal Order:

Please return completed form with payment to: College Secretary, Rockwell College, Cashel, Co. Tipperary. E25 ED6O